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Organization
HANCOCK MEDICAL HEALTH SERVICES, INC.
Active
Organization
HANCOCK MEDICAL HEALTH SERVICES, INC.
Active
Other names
Hancock Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY KEN SMITH MBA (DIRECTOR OPERATIONS)
(985) 898-7091
Entity
Organization
Contact information
Practice address
4433 LEISURE TIME DR., DIAMONDHEAD, MS 39525
(228) 586-9229
(228) 586-9230
Mailing address
149 DRINKWATER BLVD., BAY ST LOUIS, MS 39520
(228) 467-8676
(228) 467-8674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/18/2012
Last updated
04/30/2014
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